| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,484.89 | |
BCBS
| Facility | $5,517.45 | $6,679.32 | $8,985.82 | |
BCBS
| Facility | 50 | $8,276.18 | $10,018.98 | $13,478.73 |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 |